Office of Ethics
United States Department of Agriculture

Ethics Forms

Some of the following forms are available on this website in Adobe Acrobat's PDF file format. To view and print the files requires the use of Adobe's Acrobat viewing software. This software may be obtained free from Adobe's Web site . Instructions and technical support for using this software is provided by Adobe.

Upon completion of your form, please submit the form to your appropriate Agency ethics advisor .

Please note: If you experience any problems while opening up or filling out the forms, please e-mail us at Ethics-REE@oe.usda.gov

FORM # FORM TITLE AVAILABLE FORMATS
AD-1101 Acceptance of Travel Funds from a Non-Federal Source Instructions Adobe PDF
OE-101 Request for Approval of Outside Activity Instructions Adobe PDF
OE-208 Request for Approval to Serve as an Officer, Director, or Trustee of a Nonprofit Professional Organization in an Official Capacity   Adobe PDF
SEB-102 Conflict of Interest Certification Adobe PDF
SEB-103 Request for Approval to Accept an Award from a Non-Federal Source Adobe PDF
SEB-104 Acceptance of Free Attendance at Widely-Attended Gatherings Adobe PDF
OE-109 CFC Event Registration Adobe PDF
SEB-106 Request for Approval of Official Duty Activity   Adobe PDF

 

OTHER FORMS AND TEMPLATES
FORM # FORM TITLE AVAILABLE FORMATS
Sample Letter of Acceptance for Travel Funds Provided by a Non-Federal Source MS Word  
OGE-1353 Semiannual Report of Payments Accepted from a Non-Federal Source Excel  
  Certification of U.S. Government Material as Public Domain Content MS Word  
  Disqualification Memorandum – Outside Activity MS Word  
  Disqualification Memorandum – Stock Holdings MS Word  
  Disqualification Memorandum – Seeking Employment MS Word  
  Federal Liaison Memorandum Template MS Word  
  Request for Review/Approval of Honorary Degrees   Adobe PDF